Pricing Pages

PRICING PAGES

Page 1 of 4

The Offeror must complete this Pricing Pages with the prices and percentage applicable for providing services in accordance with the provisions and requirements of this Request for Proposal. Please sign where indicated on the PRICING PAGE 5 of 5and submit with your other documentation. Offeror may copy this form to use if additional space is required.

PERCENTAGE FEE:

The Offeror shall state a single firm fixed fee, in the form of a percentage of the actual net media cost for Media Planning and Placement/Purchase that shall be the Offeror’s fee for media planning and placement/purchase performed in accordance with the provisions and requirements included herein. All costsassociated with providing the media planning, placement, and purchasing shall be included in the stated fee.

Line # / Media Planning and Placement/Purchase / Firm Fixed Fee in the Form of a Percentage of Actual Net Media Cost
001 / Services related to planning and placing media. / ______%

PERSONNEL CLASSIFICATION PRICING:

Personnel - Per hour prices - The Offeror shall complete the following table for each personnel classification that are proposed to be available to provide services, by identifying the specific classification, providing the names of the current personnel assigned and a single firm fixed price per hour each classification for services provided in accordance with the requirements of this RFP.

PRICING PAGES

Page 2 of 4

Item #
(to be completed upon any award) / Personnel
Classification / Name(s) of all Personnel Proposed who are assigned to
Identified Classification / Firm, Fixed Price Per Hour
Personnel from Account Service(continued)
1.
2.
3. / $
1.
2.
3. / $
Personnel from Creative (list specific classification)
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
Personnel from Production (list specific classification)
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $

PRICING PAGES

Page 3 of 4

Personnel from Public Relations (list specific classification)
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
Personnel from Media Planning & Placement (list specific classification) – Only billable when media purchases are not made
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
Other Personnel Proposed (list specific classification)
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $
1.
2.
3. / $

PRICING PAGES

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RENEWAL OPTION PERIODS:

Renewal Option Pricing -The Offeror must indicate below the maximum allowable percentage of price increase or guaranteed minimum percentage of price decrease applicable to the personnel classification pricing specified above for the renewal option years. If a percentage is not proposed (i.e. left blank, page not returned, etc.), the MHTC shall have the right to execute the option at the same price(s) proposed for the original contract period. Statements such as "a percentage of the then-current price" or "consumer price index" are NOT ACCEPTABLE.

All increases or decreases shall be calculated against the original contract price, not against the previous year's price. A cumulative calculation shall not be utilized.

Potential Renewal Period / Maximum Increase / Minimum Decrease
1st Renewal Period / Original Contract Price / + / ____% / or / Original Contract Price / - / ____%
2nd Renewal Period / Original Contract Price / + / ____% / or / Original Contract Price / - / ____%
3rd Renewal Period / Original Contract Price / + / ____% / or / Original Contract Price / - / ____%
4th Renewal Period / Original Contract Price / + / ____% / or / Original Contract Price / - / ____%

Do not complete both a maximum increase and a minimum decrease for the same renewal period.

Signature of Offeror: ______

Printed or Typed Name of Signer: ______

Date: ______

~ This section of the page intentionally left blank.~

EXHIBIT 1

ANNUAL WORKER ELIGIBILITY VERIFICATION AFFIDAVIT

(for joint ventures, a separate affidavit is required for each business entity)

STATE OF ______)

) ss

COUNTY OF ______)

On the _____ day of ______, 20____, before me appeared ______, personally known to me or proved to me on the basis of satisfactory evidence to be a person whose name is subscribed to this affidavit, who being by me duly sworn, stated as follows:

I, the Affiant, am of sound mind, capable of making this affidavit, and personally certify the facts herein stated, as required by Section 285.530, RSMo, to enter into any contract agreement with the state to perform any job, task, employment, labor, personal services, or any other activity for which compensation is provided, expected, or due, including but not limited to all activities conducted by business entities.
I, the Affiant, am the ______of ______, and I am duly authorized, directed, and/or empowered to act officially and properly on behalf of this business entity.
I, the Affiant, hereby affirm and warrant that the aforementioned business entity is enrolled in a federal work authorization program operated by the United States Department of Homeland Security, and the aforementioned business entity shall participate in said program to verify the employment eligibility of newly hired employees working in connection with any services contracted by the Missouri Highways and Transportation Commission (MHTC). I have attached documentation to this affidavit to evidence enrollment/participation by the aforementioned business entity in a federal work authorization program, as required by Section 285.530, RSMo.
I, the Affiant, also hereby affirm and warrant that the aforementioned business entity does not and shall not knowingly employ, in connection with any services contracted by MHTC, any alien who does not have the legal right or authorization under federal law to work in the United States, as defined in 8 U.S.C. § 1324a(h)(3).
I, the Affiant, am aware and recognize that, unless certain contract and affidavit conditions are satisfied pursuant to Section 285.530, RSMo, the aforementioned business entity may be held liable under Sections 285.525 though 285.550, RSMo, for subcontractors that knowingly employ or continue to employ any unauthorized alien to work within the state of Missouri.
I, the Affiant, acknowledge that I am signing this affidavit as a free act and deed of the aforementioned business entity and not under duress.

______Affiant Signature

Subscribed and sworn to before me in ______, _____, the day and year first above-written.

______

Notary Public

My commission expires:

[attach documentation of enrollment/participation in a federal work authorization program]

~ End of Exhibit 1. ~

EXHIBIT 2

APPLICANT AFFIDAVIT FOR SOLE-PROPRIETORSHIP OR PARTNERSHIP

(a separate affidavit is required for each owner and general partner)

STATE OF ______)

) ss

COUNTY OF ______)

On this ______day of ______, 20_____, before me appeared ______, personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instruments, who being by me duly sworn, deposed as follows:

My name is ______, and I am of sound mind, capable of making this affidavit, and personally certify the facts herein stated, as required by Section 208.009, RSMo, for failure to provide affirmative proof of lawful presence in the United States of America:

I am the ______of ______, which is applying for a public benefit (grant, contract, and/or loan) administered/provided by the Missouri Highways and Transportation Commission (MHTC), acting by and through the Missouri Department of Transportation (MoDOT).

I am classified by the United States of America as:(check the applicable box)

a United States citizen.

an alien lawfully admitted for permanent residence.I am aware that Missouri law provides that any person who obtains any public benefit by means of a willfully false statement or representation, or by willful concealment or failure to report any fact or event required to be reported, or by other fraudulent device, shall be guilty of the crime of stealing pursuant to Section 570.030, RSMo, which is a Class C felony for stolen public benefits valued between $500 and $25,000 (punishable by a term of imprisonment not to exceed 7 years and/or a fine not more than $5,000 – Sections 558.011 and 560.011, RSMo), and is a Class B felony for stolen public benefits valued at $25,000 or more (punishable by a term of imprisonment not less than 5 years and not to exceed 15 years – Section 558.011, RSMo).

I recognize that, upon proper submission of this sworn affidavit, I will only be eligible for temporary public benefits until such time as my lawful presence in the United States is determined, or as otherwise provided by Section 208.009, RSMo.

I understand that Missouri law requires MHTC/MoDOT to provide assistance in obtaining appropriate documentation to prove citizenship or lawful presence in the United States, and I agree to submit any requests for such assistance to MHTC/MoDOT in writing.

I acknowledge that I am signing this affidavit as a free act and deed and not under duress.

______

Affiant SignatureAffiant’s Social Security Number or

Applicable Federal Identification Number

Subscribed and sworn to before me this ______day of ______, 20_____.

______

Notary Public

My commission expires:

~ End of Exhibit 2. ~

RFP 6-120515BJ Advertising, Marketing & Public Education Services

EXHIBIT 3

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OFFEROR INFORMATION

The Offeror should provide the following information about the Offeror’s organization.

(Offeror may copy the Exhibit to use if additional space is required)

Provide a brief company history, including the founding date, and number of years in business as currently constituted.

Offices - Identify all currently operating office locations and provide brief (couple sentence basic information) description about each one. Identify the one(s) proposed to be used for services per this RFP and provide additional description/details about each such office, (history, number of employees, years at such location, facilities, accounts handled, etc.)

Describe the structure of the organization including any board of directors, partners, top departmental management, etc., corporate organization, corporate trade affiliations, any parent/subsidiary affiliations with other firms.

Provide a list summarizing pending litigation that could affect the Offeror’s ability to meet the terms of the contract, any pending litigation, any civil or criminal judgments, any bankruptcy proceedings, etc. Failure to list such litigation may result in rejection of the proposal or in termination of any subsequent contract.

Document the Offeror’s current financial condition. If the Offeror is a subsidiary, provide this information for the parent company. Audited financial statements for the last year will provide such documentation, however, they will become public information. Other information documenting financial solvency may be submitted.

Provide an Aged Account Payable Report for your organization– or other demonstration of prompt payments.

For the office proposed, provide a listing of clients/accounts that have been active in the last five years. Provide beginning and ending dates of the relationship, approximate total value of the contract, a brief scope of services provided for client, and the account team assigned. Attach examples of work performed for a few of the accounts considered some of the best and most appropriate to services that might be required by the State of Missouri. Identify the accounts in order of size from the largest to the smallest in terms of total value of the contract. (add additional rows as necessary).

NOTE: Specific dollars cannot be provided at the request of the client, please provide other information if to assist in determining the size of the account.

RFP 6-1205xxXX Advertising, Marketing & Public Education Services

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EXHIBIT 3

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OFFEROR INFORMATION

Client/Account Name

(include contact name/phone #)

List in order of size from largest to smallest

Beginning & Ending Dates

Total Value of Contract/Size of Account *

General Description

(Identify if considered “social marketing”-type services, public information/education, etc. & explain. Provide demographic market reached & brief description of strategic objectives)

Specify Key Account Team Assigned

Samples included

(yes/no)

EXHIBIT 3

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OFFEROR INFORMATION

In addition to the list provided above, identify some clients from the past ten (10) years considered most similar to the type of services which might be required by a Missouri state agency. Provide a short description about the services performed.

Identify the clients/accounts gained and lost in the past 2 years and reasons for such acquisition/loss.

Provide a complete breakdown of current billings into the various media-type categories and indicate amounts/percentages of in-state (Missouri), out-state (National) business, and out-country (international) business.

Media Type / In-State Missouri / Out-of-State Missouri
% / $ Amount / % / $ Amount
Television – Network
Television - Cable
Radio
Outdoor
Print-Newspaper
Print-Periodical and/or
Trade Magazine
Transit
Internet/Website/Pod Cast
Other

~ End of Exhibit 3. ~

EXHIBIT 4
Page 1 of 1
(Offeror may copy the Exhibit to use if additional space is required.)
EXPERTISE OF PERSONNEL
Personnel Available
(copy and complete for each person)
Name of Service Expertise/Department:
Name of Person Assigned
Physical Domicile (office location)
Educational Degree, include college or university, major, and dates
# of years experience in social marketing
Describe person’s relationship to Offeror. If employed, indicate # of years. If subcontractor, describe other/past working relationships.
Describe person’s responsibilities / accounts over the past 12 months
Previous employer(s), positions, & dates
Identify specific information about experience in social marketing efforts. Clearly identify the experience including exact nature of services provided, provide dates, describe the person’s role and extent of involvement in the experience.

RFP 6-120515BJ Advertising, Marketing & Public Education Services

EXHIBIT 5

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METHOD OF PERFORMANCE

The Offeror should present a written plan for performing the requirements specified in this Request for Proposal. In presenting such information, the Offeror should specifically address each of the following issues. Use additional sheets if necessary.

Proposed Services:

1.Philosophy - The Offeror should provide a brief expression of the Offeror’s marketing/public education philosophy.

2.Research - The Offeror should provide any recommendations regarding research and how the Offeror incorporates research results into strategies for marketing/public education.

3.Measurement of Results - The Offeror should describe the method(s) that will be used to measure the effectiveness of the services performed.

4.Customer Service - The Offeror should submit their current policies and procedures on customer service and explain how quality control is performed and how customer service will be assured for the state agency.

5.Special Services - The Offeror should describe any special services that the Offeror proposes or is able to provide that may be of special interest to the state agency.

Facilities:

6.The Offeror should fully describe the facilities which will be available and/or utilized for services on behalf of the State of Missouri, including in-house and subcontracted.

7.The Offeror should describe the services the Offeror can offer that can be utilized as well as the mix of capabilities including such areas as full-scale marketing plans, creative advertising, graphic design, copy writing, public relations, lead generation, etc.

8.The Offeror should describe any special services that the Offeror proposes or is able to provide that may be of special interest to the state agency.

Accountability Processes:

9.The Offeror should describe the systems/project approval processes proposed for use in obtaining state agency approvals for projects and associated budgets.

10.The Offeror should describe the systems proposed to keep projects on time and within budget.

11.The Offeror should describe the Offeror’s proposed payment procedures in sufficient detail to provide assurances that the payments by the Offeror will made promptly.

RFP 6-120515BJ Advertising, Marketing & Public Education Services

EXHIBIT 5

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METHOD OF PERFORMANCE

Staffing Plan and Resources

12.Organizational Chart - Attach an organizational chart showing the staffing and lines of authority for personnel. The relationship of the account service team members, to public relations, to management, and to support personnel should be clearly illustrated. The organizational chart should include the names of the personnel and the working titles of each and should include information about any proposed subcontractors including management, supervisory, and other key personnel.

13.Management - The Offeror should indicate and describe the role principles and top management will play in day-to-day account management and direction. The Offeror should describe how services of the contract will be managed, controlled, and supervised in order to ensure satisfactory contract performance.

14.Total Personnel Resources - The Offeror should provide information that documents the depth of resources to ensure completion of all requirements on time and on target.

Economic Issues

15.Provide a description of the proposed services that will be performed and/or the proposed products that will be provided by Missourians and/or Missouri products. Provide a description of the economic impact returned to the State of Missouri through tax revenue obligations. Provide a description of the company’s economic presence within the State of Missouri (e.g., type of facilities: sales offices; sales outlets; divisions; manufacturing; warehouse; other), including Missouri employee statistics.

16.Outside United States - If any products and/or services offered under this RFP are being manufactured or performed at sites outside the continental United States, the Offeror MUST disclose such fact and provide details in the space below or on an attached page.

Are products and/or services being manufactured or performed at sites outside the continental US? / Yes / ____ / No / ____
Describe and provide details:

RFP 6-120515BJ Advertising, Marketing & Public Education Services